Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2014
[Case of small bowel angioectasia in which the resection site was angiographically detected using intraoperative dye infusion].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Yamamoto Kenta, Kumada Takashi, Kiriyama Seiki, Tanikawa Makoto, Hisanaga Yasuhiro, Toyoda Hidenori, Kanamori Akira, Tada Toshifumi, Kitabatake Syusuke, Sone Yasuhiro
Аннотация
A 37-year-old Japanese man undergoing treatment for dilated cardiomyopathy was presented with weakness and melena. He had conjunctival pallor and difficulty in standing;his blood pressure was 81/62 mmHg. Abdominal computed tomography revealed contrast dye leakage into the small intestine. He was diagnosed with hemorrhagic shock secondary to intestinal bleeding;we administered large volumes of intravenous fluid along with performing a blood transfusion. We then performed angiography to determine the site of bleeding angioectasia and placed a catheter into the affected artery. We identified the resection site using an intraoperative dye infusion via the catheter, and successfully performed small bowel resection. He was subsequently discharged without complications.